MEDICARE: DR. ALAN M REZNIK M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician	29781	CT
2	207XX0005X	Sports Medicine (Orthopaedic Surgery) Physician	29781	CT

General Provider Information

NPI Number	:	1275539785
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALAN M REZNIK M.D.

Provider Business Mailing Address
First Line	:	2 BARNES INDUSTRIAL RD S
Second Line	:
City	:	WALLINGFORD
State	:	CT
Zip	:	06492-2486
Country	:	US
Telephone Number	:	203-626-0160
Fax Number	:	203-294-6734

Provider Business Practice Location Address
First Line	:	9 WASHINGTON AVE FL 1A
Second Line	:
City	:	HAMDEN
State	:	CT
Zip	:	06518-3267
Country	:	US
Telephone Number	:	203-865-6784
Fax Number	:	203-865-6788

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/21/2005
Last Update Date	:	05/18/2026

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